{
"Npi": {
"NPI": "1215022397",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ROBERTS",
"FirstName": "GALE",
"MiddleName": "E",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "FNP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "COOK",
"OtherFirstName": "GALE",
"OtherMiddleName": "E",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "RN",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "3800 S NATIONAL AVE",
"SecondLineMailingAddress": "#540",
"MailingAddressCityName": "SPRINGFIELD",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "65807-5209",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "417-269-5712",
"MailingAddressFaxNumber": "417-269-4869",
"FirstLinePracticeLocationAddress": "2004 W MARLER LN",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "OZARK",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "65721-7661",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "417-581-3006",
"PracticeLocationAddressFaxNumber": "417-581-3009",
"EnumerationDate": "10/04/2006",
"LastUpdateDate": "05/03/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "RN083179",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}